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EP0797957A1 Expired / Lapsed EP ⏱️ 0.0 years remaining

Depth stop apparatus for laserassisted transmyocardial revascularization and other surgical applications

Assignee: Eclipse Surgical Technologies Inc
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Filing: 1997-03-27
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Granted: —
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Expires: 2017-03-27
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Abstract

Abstract Apparatuses related to laser-assisted transmyocardial revascularization are provided and more particularly, apparatuses for precisely positioning a fiber-optic or other waveguide adjacent the area or areas to be lased, including at positions adjacent the posterior epicardial and endocardial surfaces of the heart and at trans-septal positions within the chambers of the heart, thereby making possible the creation of channels in myocardial tissue at precisely the positions in the heart where ischemia or infarction or other have rendered such treatment desirable or necessary. These apparatuses can be adapted for use in surgical applications throughout the human body or in animals for transmitting laser energy precisely, at predetermined positions and to predetermined depths. A catheter device for performing laser-assisted transmyocardial revascularization (TMR), particularly adapted for delivery of laser energy via a laser delivery means or manipulation of some other apparatus inside a body cavity or organ chamber where the depth of delivery of the laser energy is critical to the procedure, comprises an outer lumen and a depth stop, the depth stop having a deploying means, such that when the catheter device is placed adjacent tissue to be lased and the depth stop is deployed, the spatial reference of the position of the catheter device and the laser delivery means or other apparatus used in the catheter device is maintained in a predetermined position relative to the position of the distal end of the outer lumen. Deployment of the depth stop consists of inflating a balloon tip, or there may also be an inner lumen such that deployment comprises slightly retracting the inner lumen such that an expanding mechanism such as a braided basket or "moly bolt" device increases the diameter of the end of the catheter device, thereby providing a contacting surface for performing the surgical procedure, whether it be laser ablation, visualization, or other.

Inventors

  • 👤 Richard L. Mueller

Bibliographic Details

Application Number —
Jurisdiction EP
Data Source google_patents
Last Synchronized 2026-10-23 10:47
CPC Classifications
A; A61; A61B; A61B18/00; A61B18/18; A61B18/20; A61B18/22; A61B18/24; A61B17/00; A61B17/00234; A61B2017/00238; A61B2017/00243; A61B2017/00247; A61B17/22; A61B2017/22051; A61B2017/22072; A61B2017/22074; A61B2017/22077; A61B17/34; A61B2017/348; A61B2017/3482; A61B2017/3484; A61B2017/3492; A61B2018/00315; A61B2018/00345; A61B2018/00351; A61B2018/00392; A61B2018/00636; A61B2018/00696; A61B2018/00738; A61B2018/2238

Claims Analysis

Total Claims: 20
Claim 1
Independent Claim 167 words
A surgical device for performing laser-assisted transmyocardial revascularization (TMR), the device particularly adapted for delivery of laser energy via a laser delivery means or manipulation of some other apparatus inside a body cavity or organ chamber where the depth of delivery of the laser energy is important to the procedure, the device comprising: an outer lumen, the outer lumen having a proximal end and a distal end, the outer lumen defining the central axis of the surgical device; a depth stop, the depth stop disposed at a point on the outer lumen adjacent the distal end of the outer lumen, the depth stop having a deploying means such that when the surgical device is placed adjacent tissue to be lased and the depth stop is deployed, the spatial reference of the position of the surgical device and the laser delivery means or other apparatus used in the surgical device is maintained in a predetermined position relative to the position of the distal end of the outer lumen.
Claim 2
Dependent Claim 25 words
The surgical device of claim 1 adapted for use as a catheter device, the catheter device useful for use in vascular channels and organ chambers.
Claim 3
Dependent Claim 30 words
The surgical device of claim 1 or claim 2 wherein the distal end of the outer lumen extends slightly past the depth stop thereby providing a distally extending end portion.
Claim 4
Dependent Claim 19 words
The surgical device of claim 3 wherein the distally extending end portion is tapered and able to penetrate tissue.
Claim 5
Dependent Claim 18 words
The surgical device of claim 3 or claim 4 wherein the distally extending end portion is mechanically sharpened.
Claim 6
Dependent Claim 16 words
The surgical device of any one of the preceding claims wherein the outer lumen is rigid.
Claim 7
Dependent Claim 17 words
The surgical device of any one of claims 1 to 5 wherein the outer lumen is flexible.
Claim 8
Dependent Claim 31 words
The surgical device of any one of the preceding claims wherein the depth stop comprises a balloon tip such that deployment of the depth stop consists of inflating the balloon tip.
Claim 9
Dependent Claim 46 words
The surgical device of any one of the preceding claims further comprising an inner lumen, the inner lumen disposed inside the outer lumen, the inner lumen having a proximal end and a distal end, the distal end connected to the distal end of the outer lumen.
Claim 10
Dependent Claim 45 words
The surgical device of claim 9 wherein the depth stop comprises a braided basket such that deployment of the depth stop consists of a slight retraction of the inner lumen within the outer lumen such that the depth stop is compressed axially and expanded radially,
Claim 11
Dependent Claim 28 words
The surgical device of claim 9 wherein the depth stop comprises a moly bolt tip such that deployment consists of causing the moly bolt to develop radial protrusions.
Claim 12
Dependent Claim 17 words
The surgical device of any one of the preceding claims further comprising a depth stop deploying mechanism.
Claim 13
Dependent Claim 46 words
The surgical device of claim 9 further comprising a depth stop deploying mechanism, the proximal ends of the outer and the inner lumens connected to the mechanism, the mechanism having a control means, the control means able to cause the depth stop mechanism to be deployed.
Claim 14
Dependent Claim 29 words
The surgical device of any one of the preceding claims wherein the depth stop further comprises a contacting surface essentially perpendicular to the central axis of the catheter device.
Claim 15
Dependent Claim 25 words
The surgical device of any one of the preceding claims further comprising a laser delivery means, the laser delivery means disposed inside the outer lumen.
Claim 16
Dependent Claim 68 words
The surgical device of any one of the preceding claims further comprising a distally extending tip portion extending axially past the depth stop, the distally extending tip portion having a plurality of openings such that a plurality of laser delivery means introduced into the outer lumen can be extended through the surgical device through the distal end of the outer lumen for the delivery of laser energy therefrom.
Claim 17
Dependent Claim 167 words
The surgical device of any one of the preceding claims further comprising: a plunger, the plunger extending parallel with the central axis of the surgical device and through the outer lumen, the plunger having a proximal end and a distal end; and mechanical linkage element, the mechanical linkage attached to the distal end of the outer lumen at a point of attachment, the mechanical linkage element having a cam surface, the mechanical linkage element further having a distally extending redirecting surface, such that when the plunger is moved axially through the outer lumen such that its distal end is brought to bear against the cam surface, the mechanical linkage element is rotated about the point of attachment between the mechanical linkage element and the distal end of the outer lumen, thereby redirecting a laser delivery means extending through the outer lumen of the surgical device to an angle with respect to the central axis of the surgical device for precise control of the delivery of laser energy.
Claim 18
Independent Claim 105 words
A device for revascularizing cardiac tissue comprising: a catheter having a proximal and a distal end and defining at least one inner lumen, the distal end having at least one exit aperture; a stabilizer device at the distal end for stabilizing the distal end on the cardiac tissue; a deployment mechanism at the proximal end of the catheter and operatively connected to the stabilizer device for expanding the stabilizer device to contact the cardiac tissue; and at least one fiber optic device insertable through the at least one inner lumen for delivering laser energy from the distal end of the catheter to the cardiac tissue.
Claim 19
Dependent Claim 27 words
The device of claim 18 wherein the stabiliser device does not extend substantially beyond an outer diameter of the catheter prior to expansion by the deployment mechanism.
Claim 20
Dependent Claim 44 words
The device of claim 18 or 19 wherein the distal end has two or more exit apertures and two or more fiber optic devices are inserted through the at least one inner lumen for deployment through the at least two or more exit apertures.

References Cited (Backward Citations)

US4658817A Cited
US4976710A Cited
EP0542428A1 Cited
WO1993015672A1 Cited
WO1996039965A1 Cited

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